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Special Events Application
375 Depot Road Clarkston, MI 48346 (248)625-1559
*NO VEHICLES ALLOWED IN DEPOT PARK (VIOLATIONS WILL BE INCURRED)*
Note:(NO TENT STAKES ALLOWED IN DEPOT PARK)
Event Coordinator Contact Name*
Event Coordinator Contact Phone Number*
Contact Email
Address1
City
State
Zip
Sponsoring Organization*
Event Name*
Event Date*
Event Date
Event Start & End Time*
Event Start & End Time Start Time
—
Event Start & End Time End Time
Is This Event More Than One Date?
1. Yes
1. No
List Additional Date(s) (and times if different)
Description of Proposed Event*
Event Location*
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Event Requests

Are Street Closures Required?*
1. Yes
1. No
MDOT requires permission to close streets. The City will obtain this approval on your behalf, however it is the Event Coordinator's responsibility to submit a map showing which roads need to be closed and the suggested detours. You will have the option of uploading a copy during the checklist section of this application.
Maps for the City of the Village of Clarkston
Will affected residents be notified of street closures?
1. Yes
1. No
If Yes: Please submit a copy of the notice to the City.
Email Marcy Rotondo or fax to (248)625-3770
Date & Time of Closure*
Date & Time of Closure Start Date
Date & Time of Closure Start Time
—
Date & Time of Closure End Date
Date & Time of Closure End Time
Will There Be Food Vendors?*
1. Yes
1. No
Vendors must be approved by the Oakland County Health Department.
Oakland County Health Department
Will Tents be Used?*
1. Yes
1. No
Location of Tents*
Note:(NO TENT STAKES ALLOWED IN DEPOT PARK) If tents will be in Depot Park you MUST receive approval from the DPW Director, Mike Speagle. Contact him at (248)625-1265.
Is Electrical Service Required?*
1. Yes
1. No
Location of Electricity Needed*
Time Electrical Box Should be Available
Time Electrical Box Should be Available
Check the Equipment Needed
NOTE: Equipment Will Be Inventoried Upon Check Out and Check In.
1. Cones
1. Barricades
Number of Cones
Number of Barricades
Do You Need DPW Assistance With Placement?
1. Yes
1. No
Will You Need the Assistance of the City's DPW during your event?
1. Yes
1. No
The Fee is $25 an hour times the numbers of workers required. A minimum of 1 hour will be charged.
How Many Hours?
How Many Workers?
List any additional assistance you need from the DPW
As an Event Coordinator you must consider the availability of restroom facilities during your event. Consideration should be made regarding the type of event, the length of time it will be held, the number of people expected, etc. You must determine the restroom facilities in the immediate area of the event venue and identify the potential need for portable facilities. Remember to include accessible facilities that meet ADA requirements.
Number of Portable Restrooms At Event
Location of Portable Restrooms
Will You Be Hanging a Banner Associated with this Event?
1. Yes
1. No
Please visit the facility banner reservation page to reserve your request.
Banner Installment Reservation
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Event Coordinator Requirement Checklist

Certification and Signature

I understand and agree on behalf of the sponsoring organization that a Certificate of Insurance must be provided with naming the City of the Village of Clarkston as an additional named insured part of the policy. I also understand that all food vendors must be approved by the Oakland County Health Department and each food or other vendor must provide the City of the Village of Clarkston with a Certificate of Insurance.
The approval of this special event may include additional requirements or limitations, based on the City's review of this application.
Applicants who fail to clean up and repair damages to the event area may be billed for City services and such failure will be considered for future applications.
As a duly authorized agent of the sponsoring organization I am applying for approval of this special event, affirm the above understandings, and agree that my sponsoring organization will comply with the terms of the written confirmation of approval of all other City requirements, ordinances and other laws, which apply to this special event. By signing this supplication, I declare I am 21 years of age or older.
Electronic Signature*
1. Agree
By checking you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Special Event Application

Steps

Step One

Event Requests

Event Coordinator Requirement Checklist

Certification and Signature